NOELLE M MAZE (NPI# 1609824465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609824465 |
| Entity Type | Individual |
| Full Name | NOELLE M MAZE |
| Credential | R.N., M.A., C-A.N.P |
| Practice Address |
8100 W 78th St Suite 225 Edina MN 55439-2516 |
| Practice Telephone | 9529469777 |
| Practice Fax Number | 9529469888 |
| Mailing Telephone | 9529469777 |
| Mailing Fax Number | 9529469888 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2009-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R958958 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 947217700 | 05 | |
| MN | PATIENT CHOICE | 108042 | 01 |
| MN | BLUE CROSS/SHIELD | 21R85MA | 01 |
| MN | RAILROAD MEDICARE | 500005086 | 01 |
| MN | SELECT CARE | 0401120 | 01 |
| MN | UCARE | 116764 | 01 |
| MN | HEALTHPARTNERS | HP19245 | 01 |
| MN | MEDICA | 0401120 | 01 |
| MN | PREFERRED ONE | 1012400 | 01 |
| MN | WEA | 120003727 | 01 |
| MN | AMERICA'S PPO | 23798 | 01 |
| Street Address |
8100 W 78TH ST SUITE 225 |
| City | EDINA |
| State | MN |
| Zip Code | 55439-2516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273927 | Thomas Anthony Kiff | Specialist/Technologist | 8100 W 78th St, 225, Edina, MN 55439-2516 | 2005-11-22 |
| 1326524414 | Angela Esther Koich | Specialist/Technologist | 8100 W 78th St, Edina, MN 55439-2516 | 2018-07-12 |
| 1811351471 | Rachel Spika | Specialist/Technologist | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2016-04-11 |
| 1700260379 | Melissa Haupt | Specialist/Technologist | 8100 W 78th St, Suite 230, Edina, MN 55439-2516 | 2015-07-14 |
| 1487037909 | Bryce Mikel | Internal Medicine | 8100 W 78th St, Edina, MN 55439 | 2015-07-01 |
| 1609260413 | Michael Hall | Specialist/Technologist | 8100 W 78th St, Suite #230, Edina, MN 55439-2516 | 2015-03-19 |
| 1740673854 | Kylene Hoeft | Specialist/Technologist | 8100 W 78th St, Suite 230, Edina, MN 55439-2516 | 2015-03-13 |
| 1902297591 | Katie Lynn Sjostrom | Specialist/Technologist | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2015-02-18 |
| 1073904496 | Sabrina Siple | Physician Assistant | 8100 W 78th St, Suite 225, Edina, MN 55439-2516 | 2015-02-06 |
| 1205241825 | Anna Karoline Stephens Lange | Internal Medicine | 8100 W 78th St, Edina, MN 55439-2516 | 2014-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773601 | Bryan James Jaquette | Specialist/Technologist | Alina Health, 8100 West 78th Street, Suite 225, Edina, MN 55439 | 2020-09-04 |
| 1063034411 | Joseph E Noble | Marriage & Family Therapist | 7801 East Bush Lake Road, Suite 130, Edina, MN 55439 | 2020-05-08 |
| 1316421050 | Global Kinetics Usa Corporation | Physiological Laboratory | 5810 West 78th Street, Suite 210, Bloomington, MN 55439 | 2018-09-19 |
| 1003361601 | Zainab Ismail Hassan | Community Health Worker | 5400 W. 70th St # 207, Edina, MN 55439 | 2016-08-24 |
| 1861852287 | Global Linguistics Inc | Interpreter | 5535 Oak Glen Rd, Edina, MN 55439 | 2016-02-26 |
| 1063889616 | Lindsey Mackereth | Counselor | 7117 Ohms Ln, Edina, MN 55439 | 2015-08-31 |
| 1851706105 | Holly Beth Gaudreau | Specialist/Technologist | 8100 W 78th St., Suite 225, Edina, MN 55439 | 2014-06-25 |
| 1841504792 | Michelle R Aumock | Physician Assistant | 8100 W 78th Street, Ste 230, Edina, MN 55439 | 2010-08-03 |
| 1770812174 | Heather Lynn Hanson Grudzinski | Counselor | 7400 Metro Blvd #100-6, Edina, MN 55439 | 2009-12-14 |
| 1548599319 | Catasys Health Minnesota, Inc. | Case Management | 7825 Washington Avenue South, Suite 500, Pmb# 600-005, Bloomington, MN 55439 | 2009-12-08 |
| Find all providers in zip 55439 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558757641 | Beth Dougherty | Nurse Practitioner | 7300 France Ave S Ste 400, Edina, MN 55435-4544 | 2015-04-15 |
| 1578804670 | Sara Marie Mestad | Nurse Practitioner | 7450 France Ave S. Ste 240, Edina, MN 55435 | 2013-03-14 |
| 1699749796 | Molly Ann Mcnaughton | Nurse Practitioner | 7601 France Ave S, Ste 270, Edina, MN 55435 | 2006-02-15 |
| 1013995570 | Erin Florin | Nurse Practitioner | 7301 Ohms Ln, Edina, MN 55439-2331 | 2006-01-05 |
| 1740897016 | Emily Louise Langan | Nurse Practitioner | 4010 W 65th St, Edina, MN 55435-1706 | 2020-09-30 |
| 1053931964 | Emilee Kuehl | Nurse Practitioner | 6401 France Ave S, Edina, MN 55435-2104 | 2020-04-21 |
| 1710537329 | Katherine Christine Le-banh | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439-2148 | 2019-09-16 |
| 1548728389 | Alexander James Patnoe | Nurse Practitioner | 6405 France Ave S Ste 200, Edina, MN 55435-2164 | 2019-03-12 |
| 1023508439 | Sarah Marie Nolan | Nurse Practitioner | 3400 W 66th St Ste 290, Edina, MN 55435 | 2018-05-11 |
| 1194244053 | Tiffany Lynn Mcintyre | Nurse Practitioner | 7235 Ohms Ln, Edina, MN 55439-2148 | 2017-09-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.